Analysis of Clinical Misdiagnosis of 2 Patients with Acute Retinal Necrosis Syndrome
LI Yong
ZHANG Ding
LIN Hui
BAI Yundong
LI Qian
Abstract：Objective To analyze the clinical characteristics of acute retinal necrosis syndrome(ARNS)and the causes of misdiagnosis,and to summarize the preventive measures,so as to improve the accuracy of early diagnosis.Methods The data of 2 patients with ARNS misdiagnosed as glaucoma and endophthalmitis from March 2021 to September 2023 were retrospectively analyzed.Results One patient presented with blurred vision in the right eye for more than 3 months,and 1 patient was admitted to hospital with acute onset of red left eye and eye pain for 4 d.At initial hospital visit,it was misdiag-nosed as glaucoma and endophthalmitis,and the corresponding treatment was not effective.After surgery,fundus examination and optical coherence tomography,the diagnosis was confirmed as ARNS.The duration of misdiagnosis was 4 d to 10 weeks.After diagnosis,he received treatment with antiviral drugs and glucocorticoids,and was discharged from hospital,with favora-ble prognosis.Conclusion ARNS is a serious blinding eye disease with rapid progression and poor prognosis,and early clin-ical manifestations lack specificity,which is prone to misdiagnosis.It is necessary to strengthen the understanding of ARNS,enhance vigilance,and perform careful differential diagnosis,timely relevant medical examination and comprehensive analysis of the condition,to avoid early misdiagnosis.
Keywords：Retinal necrosisacuteMisdiagnosisGlaucomaEndophthalmitisDifferential diagnosisFundus ex-aminationOptical coherence tomography
Publication Date：2024-12-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 22-25 )